Qee zaum, vim muaj kab mob plawv, teeb meem raum, lossis kab mob siab, koj lub cev khaws cov dej tsis tsim nyog, ua rau koj txhais tes thiab taw o, puas yog? Hauv cov xwm txheej zoo li no, hnub no peb yuav tham txog cov tshuaj tshwj xeeb uas cov kws kho mob siv los tshem tawm cov dej thiab ntsev ntau dhau ntawm lub cev. Ntawd yog tshuaj tiv thaiv hu ua Ethacrynic Acid.
Ethacrynic Acid yog hom tshuaj dab tsi?
Hais yooj yim xwb, qhov no yog tshuaj diuretic . Feem ntau, nws yog "tshuaj dej," tab sis nws yog muab los ua ib qho kev txhaj tshuaj. Nws lub luag haujlwm tseem ceeb yog txhawb koj lub raum thiab pab koj lub cev tsim cov zis ntau dua. Thaum koj tso zis, nws kuj tshem tawm cov ntsev thiab dej ntau dhau ntawm koj lub cev.
Yog li ntawd, cov tshuaj no pab tau zoo heev rau kev txo qhov o uas tshwm sim los ntawm kab mob plawv, kab mob raum, lossis kab mob siab.
Ua ntej siv cov tshuaj no, kuv yuav tsum qhia rau tus kws kho mob li cas?
Nws yog ib qho tseem ceeb uas koj tus kws kho mob yuav tsum paub txog koj tus mob ua ntej txiav txim siab sau cov tshuaj no rau koj. Yog li ntawd, yog tias koj muaj ib qho ntawm cov mob hauv qab no, koj yuav tsum qhia rau koj tus kws kho mob .
- Txog lwm yam kab mob plawv uas koj muaj.
- Yog tias koj tau raug kuaj pom tias muaj cov electrolytes qis lossis siab hauv koj cov ntshav, xws li potassium , magnesium , lossis sodium .
- Yog tias koj muaj kab mob raum lossis siab uas twb muaj lawm.
- Yog tias koj muaj kev tsis haum tshuaj rau cov tshuaj Ethacrynic Acid no lossis lwm yam tshuaj, khoom noj, lossis xim zas.
- Yog koj cev xeeb tub los yog tab tom sim cev xeeb tub.
- Yog koj yog ib leej niam uas pub niam mis rau menyuam.
Raws li cov ntaub ntawv no, koj tus kws kho mob yuav txiav txim siab seb cov tshuaj no puas yog rau koj lossis tsis yog.
Kuv yuav muab cov tshuaj no rau koj li cas?
Cov tshuaj no tsis yog ib yam tshuaj uas koj noj tau hauv tsev. Nws yog ib qho tshuaj txhaj rau hauv cov leeg ntshav . Tsuas yog muab rau hauv tsev kho mob lossis chaw kho mob los ntawm ib tus kws kho mob uas tau kawm tiav, xws li tus kws kho mob lossis tus nais maum.
Txawm tias cov menyuam yaus me me kuj tuaj yeem muab cov tshuaj no rau qee kis tshwj xeeb, tab sis tsuas yog ua tib zoo saib xyuas thiab nyob rau hauv kev saib xyuas ntawm kws kho mob.
Yog koj xav tias koj tau noj cov tshuaj no ntau dhau lawm, mus rau ETU (Emergency Treatment Unit) tam sim ntawd. Los yog hu rau National Poisons Information Centre ntawm Colombo National Hospital kom tau txais kev qhia.
Vim tias cov tshuaj no tsis siv txhua hnub thiab muab rau hauv tsev kho mob, koj yuav tsis muaj teeb meem ntawm kev tsis nco qab noj ib koob tshuaj.
Cov tshuaj twg lwm yam uas yuav cuam tshuam nrog cov tshuaj no?
Lwm cov tshuaj uas koj noj tuaj yeem cuam tshuam rau txoj kev ua haujlwm ntawm Ethacrynic Acid. Yog li ntawd, muab daim ntawv teev tag nrho cov tshuaj, cov vitamins, cov tshuaj ntsuab, thiab cov tshuaj ntxiv uas koj noj rau koj tus kws kho mob. Nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tus kws kho mob yog tias koj noj ib qho ntawm cov tshuaj hauv qab no:
- Cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv kev o (piv txwv li indomethacin)
- Qee cov tshuaj tua kab mob uas muab los ntawm kev txhaj tshuaj
- Lwm hom tshuaj diuretics
- Cov tshuaj rau kab mob plawv (piv txwv li digoxin )
- Cov tshuaj hormones steroid (piv txwv li cortisone , fludrocortisone, hydrocortisone)
- Lithium
- Cov tshuaj kho mob ntshav qab zib
- tshuaj kho mob ntshav siab
- Cov tshuaj ua kom cov ntshav nyias (piv txwv li warfarin )
Nws tseem ceeb heev rau koj qhia rau koj tus kws kho mob yog tias koj haus luam yeeb, haus cawv, lossis siv lwm yam tshuaj.
Yuav tsum ceev faj txog dab tsi thaum noj tshuaj?
Thaum koj noj cov tshuaj no, cov kws kho mob thiab cov kws tu mob yuav saib xyuas koj tus mob kom zoo. Lawv yuav kuaj xyuas tej yam xws li koj cov ntshav siab, lub plawv dhia, thiab cov electrolyte hauv koj cov ntshav. Yog li ntawd, tsis txhob txhawj txog qhov ntawd. Yog tias koj xav tias tsis xis nyob, qhia rau kws kho mob lossis kws tu mob tam sim ntawd.
Cov tshuaj no tej zaum yuav muaj tej yam tshwm sim tsis zoo li cas?
Ib yam li lwm yam tshuaj, muaj feem ntau uas cov tshuaj no yuav ua rau muaj kev phiv. Qee qhov ntawm cov no tuaj yeem ua rau mob hnyav, thaum lwm tus tsis mob hnyav heev.
| Cov teebmeem sab nraud | Kev piav qhia thiab cov tsos mob |
|---|---|
| Cov kev mob tshwm sim loj heev uas yuav tsum tau qhia rau koj tus kws kho mob tam sim ntawd | |
| Kev ua xua | Tawv nqaij ua pob khaus, khaus, o ntawm lub ntsej muag, daim di ncauj lossis tus nplaig. |
| Kev hloov pauv ntawm kev pom kev lossis kev hnov lus | Pom kev tsis meej, hnov lus tsis zoo, pob ntseg nrov. |
| Kev hloov pauv ntawm cov ntshav qab zib | Ntshav Qab Zib Siab: Kev tshaib plab heev, nqhis dej, tso zis ntau zaus, qaug zog heev. Cov ntshav qab zib qis: ntxhov siab, kiv taub hau, tshee hnyo, tawm hws ntau dhau, lub plawv dhia ceev. |
| Kev puas tsuaj rau lub raum | Nyuaj tso zis los yog hloov pauv ntawm cov zis uas koj tso tawm. |
| Cov electrolyte tsawg dua | Tsis muaj Potassium/Magnesium: Ua pa nyuaj, mob hauv siab, lub plawv dhia tsis xwm yeem, cov leeg nqaij co, thiab qaug zog. |
| Lwm cov tsos mob hnyav | Raws plab hnyav heev, tawm hws ntau dhau, tsis xav noj mov. |
| Cov kev mob tshwm sim uas yuav tsum tau tshaj tawm rau tus kws kho mob yog tias lawv tseem muaj lossis ua rau koj mob siab. | |
| Ntshav siab qis | Kiv taub hau, tsaus muag, xav tias tsis zoo. |
| Lwm yam ntxwv dav dav | Mob taub hau , kub taub hau, cov tsos mob zoo li mob khaub thuas, mob plab, ntuav, nqos nyuaj. |
Daim ntawv teev npe no tsis suav nrog txhua yam kev mob tshwm sim uas yuav tshwm sim. Yog tias koj muaj lwm yam tsos mob, nrog koj tus kws kho mob tham txog lawv.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Ethacrynic Acid yog ib qho tshuaj diuretic muaj zog uas tau muab los txo cov kua dej thiab o hauv lub cev vim yog kab mob plawv, raum, lossis siab.
- Qhov no tsuas yog muab rau hauv tsev kho mob lossis chaw kho mob xwb, nyob rau hauv kev saib xyuas ntawm kws kho mob. Koj tsis raug tso cai coj mus tsev thiab siv nws.
- Nco ntsoov qhia rau koj tus kws kho mob txog lwm yam tshuaj uas koj noj thiab txhua yam mob uas koj muaj.
- Qhia rau koj tus kws kho mob lossis tus nais tam sim ntawd yog tias koj muaj tej yam kev mob tshwm sim loj heev, xws li kev pom kev hloov pauv, kev hnov lus tsis zoo, pob khaus hnyav, lossis kev ua xua.
- Yog koj muaj lus nug txog cov tshuaj no, tsis txhob yig nug koj tus kws kho mob.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Ethacrynic Acid Injection / Edecrin yog dab tsi?
Qhov no yog tshuaj 'Loop Diuretic' uas hnyav tshaj plaws thiab muaj zog tshaj plaws uas muaj nyob rau hauv cov khw muag tshuaj! Thaum tus neeg mob lub ntsws/lub taub hau lossis tag nrho lub cev puv nkaus 'dej/kua dej (Edema)' uas lawv ua tsis tau pa thiab yuav tuag, vim yog lub plawv tsis ua haujlwm, lub raum/siab tsis ua haujlwm, cov tshuaj txhaj no raug txhaj rau hauv cov leeg ntshav hauv tsev kho mob thiab cov dej (ob peb liv) uas puv rau hauv lub cev raug tso tawm tam sim ntawd ua zis.
💬 Cov tshuaj no (Ethacrynic Acid) pab tshem cov dej uas tau sib sau ua ke hauv lub ntsws los ntawm cov zis li cas?
Qhov no ncaj qha tawm tsam lub Hoobkas 'Loop of Henle' hauv peb lub raum. Feem ntau, thaum lub raum nqus sodium/ntsev rau hauv lub cev, dej kuj mus rau hauv txoj hnyuv nrog nws. Thaum noj cov tshuaj no (Ethacrynic Acid), lub tshuab nqus sodium (Na-K-2Cl cotransporter) ntawd raug tawg/thaiv 100%. Thaum sodium tsis raug nqus mus rau hauv lub cev lawm, tag nrho cov dej hauv tag nrho lub cev sib xyaw nrog cov ntsev ntawd thiab tawm mus rau hauv txoj hlab zis zoo li dej tsaws tsag loj!
💬 Vim li cas ho siv qhov no thaum muaj cov tshuaj diuretics (Furosemide / Lasix) tsis tu ncua? Cov kev mob tshwm sim yog dab tsi?
Qhov zoo tshaj plaws ntawm cov tshuaj tiv thaiv kab mob no yog tias nws tsis muaj cov tshuaj lom neeg (Sulfa)! Ib txhia neeg hauv ntiaj teb no muaj kev tsis haum tshuaj rau cov tshuaj Furosemide (Lasix). Qhov no yog 'tib txoj kev daws teeb meem' rau lawv kom poob dej. Tab sis qhov tshwm sim txaus ntshai tshaj plaws ntawm qhov no yog tias nws muaj zog heev uas nws tuaj yeem rhuav tshem peb cov hlab ntsha hnov lus thiab ua rau 'poob kev hnov lus mus tas li (Ototoxicity / Lag ntseg)'! (Tsis tas li ntawd, tag nrho cov potassium / ntsev tawm mus thiab lub cev qhuav dej).
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus